Abstract
Stroke patients who were take care in the hospital 30-40% in depression condition. This research aim was to determine the effect of cognitive therapy and psycho Education for depression, helplessness, and ability to change negative thoughts for stroke patients. This research design was quasi experimental pre and post test with control group with a total of sample 87 person with 29 persons are given cognitive therapy and family psychoeducation therapy, 29 persons are given only cognitive therapy and 29 persons are not given therapy. Analysis by anova test and Pair t-test. The result of research show a decrease in depression and helplessness condition and increase the ability to change negative thoughts of stroke clients whom received cognitive therapy and family psychoeducation group larger than whom just only receive cognitive therapy and the group without therapy (p value <0,05). There was factor that contribute depression condition of stroke client is age. Cognitive therapy and Family Psychoeducation are recommended for stroke klien who got depression and helpless to increases the ability to change negative thinking.
Highlights
Stroke is a description of neurological changes as a result of pathological processes in the blood vessel system by thrombosis or embolism, rupture of brain blood vessel walls, changes in blood vessel wall permeability and changes in viscosity and blood quality itself (1)
Depressive conditions in general before treatment in 87 stroke clients with an average of 19.14 who were in a moderate depression condition
There was a significant decrease in depressive conditions in stroke clients who were given cognitive therapy and family psychoeducation where the depressive conditions were in mild depression
Summary
Stroke is a description of neurological changes as a result of pathological processes in the blood vessel system by thrombosis or embolism, rupture of brain blood vessel walls, changes in blood vessel wall permeability and changes in viscosity and blood quality itself (1). Stroke ranks as the third leading cause of death after heart disease and cancer in the United States (1). Based on data from the Indonesian Stroke Foundation, the highest number of stroke sufferers is in the first position in Asia. The number of deaths caused by stroke ranks second at the age of 60 years and fifth at the age of 15-59 years (2). Based on the 2013 Riskesdas data, the national prevalence of stroke was 12.1 per mile, while in the 2018 Riskesdas the prevalence of stroke was 10.9 per mile. Depression occurs 10-25% for women and 5-12% in men. The results showed that around 30-40% of stroke clients who were hospitalized experienced depression (3)
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